Sentara Life Care Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2679 Issued in VA

Legal business name

SENTARA LIFE CARE CORPORATION

Doing business as

Sentara Nursing Center Chesapeake

Practice address

776 Oak Grove Rd
Chesapeake, VA 23320-3728

Phone

(757) 204-4000

Fax

(757) 204-4001

NPI assigned

Nov 1, 2005

Last updated

May 6, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bruce Robertson

Title

Vice President Sentara Life Care

Phone

(757) 892-5400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sentara Nursing Center Chesapeake Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sentara Life Care Corporation

  • Long Term Care Pharmacy
  • Virginia Beach, VA
  • NPI 1487644795

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1376534180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 S NEWTOWN RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235025718",
            "telephone_number": "757-892-5400",
            "fax_number": "757-892-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 OAK GROVE RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203728",
            "telephone_number": "757-204-4000",
            "fax_number": "757-204-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA LIFE CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VICE PRESIDENT SENTARA LIFE CARE",
        "authorized_official_telephone_number": "757-892-5400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49-5215-4",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Nursing Center Chesapeake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sentara Enterprises
• Sentara Enterprises (Sentara Home Infusion Pharmacy Services)
• Sentara Enterprises (Sentara Palliative Care)
• Sentara Enterprises
• Sentara Life Care Corporation (Sentara Village at Chesapeake)
• Sentara Medical Group (Sentara Family Medicine Physicians)
• Sentara Medical Group (Sentara Hand Surgery Specialists)
• Sentara Medical Group (Sentara Surgery Specialists)
• Sentara Medical Group (Sentara Internal Medicine Physicians)
• Sentara Medical Group (Sentara Vascular Specialists)

• Skilled Nursing Facility in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.